Communities in Schools of Tacoma · Communities In Schools Volunteer Application 2023/24

Contact Information

Name

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First Name

Last Name

Email

*

Verify Email

*

Address

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Primary Phone

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Alternate Phone

Date of Birth

*

This information is required to run a Washington State Patrol background check.

Emergency Contact Information

Emergency Contact Name

*

First Name

Last Name

Relationship

*

Spouse

Parent

Other relative

Colleague/Friend

Other

Emergency Contact Phone

*

Volunteer Information

Please let us know which school or program you're interested in volunteering with:

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Select a school to see the available opportunities at that school. If you are interested in helping out at more than one school site, please let our volunteer coordinator know.

Arlington Elementary School - 7202 S. Pine St., Tacoma, WA 98409

Fern Hill Elementary School - 8442 S. Park Ave., Tacoma, WA 98444

Gray Middle School - 6229 S. Tyler St., Tacoma, WA 98409

Mt. Tahoma High School - 4634 S. 74th St., Tacoma, WA 98409

Oakland High School - 3702 E. McKinley Ave., Tacoma, WA 98404

Willie Stewart Academy, 908 Broadway, Tacoma, WA 98402

Winter Wish 2023

Stuff the Bus 2024

UN-Stuff the Bus Block Party 2024

Volunteer History

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If you have volunteered before, please give details of where you have volunteered, for how long, and describe your volunteer role. If you have no volunteer experience, please write "none" or "N/A".

Relevant education, work, or experience

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If you have volunteered before, please give details of where you have volunteered, for how long, and describe your volunteer role. If you have no volunteer experience, please write "none" or "N/A".

Hobbies, skills, and interests

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Please list any hobbies, skills, special interests, or qualities you may have that would be relevant to the volunteer role you are applying for. If you have no relevant information to include, please write "none" or "N/A".

Are you fluent in another language other than English?

Yes

No

If yes, which language(s)?

Second Language Skills:

Speak/understand spoken language

Read

Write

Are you over the age of 18?

*

Yes

No

References

Please provide contact information for two (2) individuals you have worked or volunteered with in the past five (5) years. If you are currently a student with no work or volunteer history, you may include one of your teachers or professors. If you are UNDER the age of 18, your first reference must be your parent/guardian.

Reference #1

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First Name

Last Name

Relationship

*

Current/former supervisor

Current/former colleague

Current/former volunteer supervisor

Professor/Teacher

Parent/Guardian

Email

*

Verify Email

*

Phone

*

Reference #2

First Name

Last Name

Relationship

Current/former supervisor

Current/former colleague

Current/former volunteer supervisor

Professor/Teacher

Email

Verify Email

Phone

Criminal History Disclosure

If you answer "Yes" to any of the following questions, please use the explanation box to explain the nature of the crime or offense, including date, place, and court involved.

Explanation:

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Please explain below if you answered "yes" including the date, place, and court involved.

Have you been convicted of crimes related to the financial exploitation of a vulnerable adult?

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Crimes relating to financial exploitation include conviction for 1st, 2nd, or 3rd degree extortion; 1st, 2nd, or 3rd degree theft; 1st or 2nd degree robbery, forgery, or as renamed. A vulnerable adult is a person 60 years of age or older who has the functional, mental or physical inability to care for himself or herself or is a patient in a state hospital as defined in chapter 72.23 RCW.)

Yes

No

Explanation:

*

Please explain if you answered "yes" including the date, place, and court involved.

Have you been found in any dependency action (RCW 13.34.040) or found in a court in a domestic relations proceeding (Title 26 RCW) to have sexually abused or exploited any minor?

*

Yes

No

Explanation:

*

Please explain if you answered "yes" including the date, place, and court involved.

Have you been found by a Court in a protection proceeding (Chapter 74.34) or any disciplinary board final decision to have sexually or physically abused any minor or developmentally disabled person OR to have abused or financially exploited a vulnerable a

*

Yes

No

Explanation:

*

Please explain if you answered "yes" including the date, place, and court involved.

Within the past ten (10) years, have you been convicted of ANY offense or placed on deferred sentence for ANY offense?

*

Yes

No

Explanation:

*

Please explain if you answered "yes" including the date, place, and court involved.

Within the past ten (10) years, have you been released from jail, prison, probation, or a work release program?

*

Yes

No

Explanation:

*

Please explain if you answered "yes" including the date, place, and court involved.

Submit a copy of your photo ID

*

In order to run a Washington State Patrol background check, you must submit a copy of your state-issued ID. This information remains secure and is only used by CIS to run your background check in accordance with Tacoma Public Schools policy for school-based volunteers.

I would like to attach a photo of my ID in this application

I would prefer to schedule an appointment to show my ID in person at the CIS of Tacoma central office at 3702 E. McKinley Ave., Tacoma, WA 98404

Copy of Photo ID

*

You may attach a scan or photograph of the ID. Please ensure that the image you attach meets the following requirements: 1) It is CLEAR (text is readable and photo is clear) 2) It is in COLOR 3) It displays your NAME 4) It displays your PHOTO 5) It displays your DATE OF BIRTH

Authority to release information:

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By typing my name above, I certify that any and all statements made on this application and any attached files are true and complete to the best of my knowledge. I understand that the information on this application may be subject to investigation and verification and that any misrepresentation or material omission may cause my application to be rejected or terminated immediately.

Parent/Guardian Authorization

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By typing my name above, I certify that I (the parent/guardian of the applicant) have reviewed my child's statements and grant permission for them to volunteer with Communities In Schools of Tacoma.

Parent/Guardian Email

*

Communities In Schools of Tacoma will contact you at this email address to confirm your authorization for your child to volunteer with us.

Verify Email

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Parent/Guardian Phone

*

Communities In Schools will contact you at this number if we have any questions about your child's volunteer application.